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Home My WebLink AboutBuilding Permit 99-1115 I! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ~ C).!O(J SCHEDULED ADDRESS _4()~ I ~ U(k~ ~ OWNER CONTR. 991/1S" o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION g FINAL ::,~/~ o SITE INSPECTIdN--" o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: SIAr i> 1>~~. C~E;- F\L-E. - ")NrtORKSATISFACTORV, PROCEED o ,""","~'DJf ,"""" o CORRECT flK, LL FOR REINSPECTION BEFORE COVERING Inspector: K. - _ OWner/Conlr: l CALL 447-9850 FOR THE NEXT lNSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! rNSNOTJ II - r U'T &~~ DA T~ RI=r.FI\.II=.Q 9/8/91 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bonom) 2. SITE ADDRESS 402. \ EAu Gl...^ I~E. I~ 1. DATE s;4 J'i1 N.E. ,eISO 3. LEGAL DESCRIPTION LOT ADDITION I BLOCK GRI'7//'IWOOQ 2.. PID 25-089- 005-0 #e/ tf},Hr..s 4. OWNER DON 5. ARCHITECT (Address) SA/l'tt:: (Address) (TeL No.) 4"10- 72 07 (Tel. No.) 7. TYPE OF WORK Fireplace Q Septic 0 Deck 0 Ae-roofing 0 Porch Q New Construction 0 Alterations 0 AdditiolJ..O.. Finish Attic CI Rs-siding (] Finish Basement (] Chimney" Misc. A .~SiSlL"'I'" ~'"'t\Z.0 c.T'..,p.e 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No va furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for oned roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the I /I\'::)1'S t1f9 fO"S'..ca~:. Furthemm'e. I he,oby ag'ee thaf the city official 0' a designee may ente, upon the p'operty toX"" ;;1;; i711'1OOs. sqnatu(; I License No. I 6&" f (Name) -e.~ 0 (Name) 6. BUILDER (Name) (Address) $A-A'\.e (TeL No.) SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION bO{J/J_ .~ USE OF BUILDING RE -S ..q / "e' TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 :3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ S U City: //2 . Z5 '12... 'f(., 3.- 61 'i lliq ~/~ CII'-""'~I""~' I Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ By e ~ z.~~i:t~Il'tf~tt~r - Certificate of Occupan? '::: Issued Side l. White 2. Pink 3. Yellow File City Applicant Permit No. qq~lll5' BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE MATERIAL FILED WITH APPLICATION SOIL TESTS " ENERGY DATA " PILING LOGS LJ PERCOLATION TESTS [j PLANS & SPECS [j SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... 't SAC ......................................... <t Collective Street Fee ....................... <I' Sewer Tap ................................... <1'. $ Pressure Reducer .......................... <t Meter Horn ................................... <t Water Meter ................................. If:. Sewer & Water Connection Fee ........... If:. WaterTowerFee ........................... 'f. Water Tap ..................................._of; Builder's Deposit ............................ <I' Other ......................................... $ Tofal Due ..................-........... $_/,q 8. ~ L Paid / 311/3S Date '/rD By T1;is is. that the request .n the above application and accompanying documents is in accordance with th! City Zon; g Ord. idnce and may proce Ii requested. This document when signe y c~er co itutas a temporary Certificate of ?O~COmPliance . d al s const clion 0 comme ceo Before occ~ncy, a C . icate of Occu~_~ ~~t be issued. . . q -~ 1- . - dJ}. OrL -f-1f-- .. - ~il'iPI ate Special Conditions if an 24 hour notice lor aU inspections 447-9650 , , ~~ 99-///5"" Tht Cl!'nlrr of lhr L.kr Counl!'}' White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DefARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,DoN' BDVO q/a/9CJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 402 / E/Jt/ C en / /Zt/ "77L NE Accepted ;< Accepted With Corrections Denied (2Jfl~ Date: (-)-ccr Reviewed By: Comments: "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." I [ __H. --r-.----.------.--.--- .- - H_____ .-.--.. -.. -. _.-r--- """'-+,-~""'~~' , _~~_'P ~, .~ ~~ , /' ,/ cr"- Tht Ctnltr of lht Llkr Counlry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED _f ,/' /' ,/ "-:, / C) /' ~ , r;, /.' l (~'J f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /. / ..:.-; I / l: ~,,, /:,/ /' .I / /~_' C~" "/"'-/.' . ",-- /' e:.-. Accepted / Denied 4 If Reviewed By: (J (t)1. ~ Comments: 1/ Q"::!-hadVJ /MIld ./A~1kfl.A/.] ~ .-dG 1/)' ~ ~ - OJ t:.., A ~ S~I)- ~~c ~ ,1tJCD-l7S/ ~ /l1el1- Jfl-1ll fl-1 ~i'ffYl/.). WOucl ~~ -Of'- Accepted With Corrections Date: C{ - g -19 "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITEADDRESS tj()7-1 ft'AI1,{f(IA;r 'Ji TYPE OF WORK USE OF BUILDING PERMIT NO. 0CZ- III c;-- DATE ISSUED CJ -;-99 BUILDER _~'J2:lo, ^?"\ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT IA~:~~Q ~(~ I I PLACE NO COrfG-R-ETE UNTIL ABOVE HAS BEEN SIGNED ~ I I INSPECTOR DATE I FINAL Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 .